甲状腺乳头状癌超声表现与病理学对照分析(附35例报告)  

Ultrasound manifestation and pathologic control analysis of papillary thyroid carcinoma

作　　者：王妍[1] 郭石[1] 丛杰[2] 

机构地区：[1]辽宁省沈阳市苏家屯区中心医院,辽宁沈阳110101 [2]中国医科大学附属盛京医院超声科,辽宁沈阳110001

出　　处：《中国现代医学杂志》2008年第21期3158-3160,共3页China Journal of Modern Medicine

摘　　要：目的探讨甲状腺乳头状癌(papillary thyroid carcinoma,PTC)超声图像特征及其病理学基础。方法回顾35例PTC患者术前彩色多普勒超声的二维及血流显像图表现,并与病理对照分析。结果PTC超声图像表现为边界不清、不规则、无包膜;低回声区、可见微钙化;彩色血流丰富、形态紊乱主要位于肿块内部;颈部淋巴结内部可出现囊性变。其上述特征相应的病理基础为:癌组织无包膜、浸润性生长、间质成分少、有乳头状突起;细砂状微小钙化;颈部淋巴结内有泡沫状巨噬细胞及胶质;在间质内有密集成簇或呈岛状分布的微血管。结论超声有助于对PTC的诊断,其典型图像特征是有病理基础可循的。Obsjective To study the character of sonogram and base of pathology in PTC.MethodsThe 2D colour doffler ultrasound and bloodstream picture of 35 PTC preoperative patients were reviewed,r etrospectively.and cross-check analysis with pathotogy.ResultsThe sonogram character were obscure boundary, irregularity, no amicula;low level echo district found microcalcification;colour bloodstream was plentiful and shape confused in tumor centre, lymph node of neck emerged cystis degeneration.The base of pathology corre...

关 键 词：甲状腺 乳头状癌 超声检查 病理学 

分 类 号：R736.1[医药卫生—肿瘤]